General Gymnastics - Mondays - 4-5 Years

 

Registration Form

Price category
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First name
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Last name
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Date of birth
   *
Age
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Address 1
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Address 2
City
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Postcode
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Parent/Guardian Full Name
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Parent/Guardian Address
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Parent/Guardian Mobile Number
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Parent/Guardian Email Address
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Parent/Guardian Relationship to Child
 *
Emergency Contact Full Name
 *
Emergency Contact Phone Number
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Emergency Contact Relationship to Child
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Does your child have any medical information we need to be aware about?
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Are there any disabilities or additional needs that we need to be aware of?
 *
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I declare that I give permission for him/her to be taken to hospital in an emergency, for medical treatment to be given and if necessary anaesthetic to be administered.
Declaration: I declare that I give permission to Dover Gymnastics Club for the taking and publishing of video, photographs and images for coaching purposes and promotional use by the Club in the form of leaflets, newspaper articles, use on the club web site and public social media.
I declare that I give permission for him/her to leave the club premises unattended and of their own accord.
Gift Aid
I want to gift aid my donation and any donations I make in the future of have made in the past 4 years to: Dover Gymnastics Club. Please enter donation amount
Promotional code
 
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